This section of our website is dedicated to supporting Health Plan of San Joaquin / Mountain Valley Health Plan (“Health Plan”) providers with valuable forms and documents. All policies are located on our Compliance Policies page. Click below to view
Prior Authorization may be requested by telephone to Utilization Management Department at 1-209-942-6350, fax to 1-209-942-6302 for the Prior Authorization Team and 1-209-762-4702 for the Inpatient Team, mail or electronic submission.
Health Plan’s Electronic Medical Management System
Non-contracted providers Only – If you are looking for Provider Dispute Resolution forms, please click here.
Posted on June 17th, 2015 and last modified on October 23rd, 2026.
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